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AUTHORIZATION FOR THE RELEASE OF PROTECTED HEALTH INFORMATION Auburn Oaks Family Dentistry 8421 Auburn Blvd Suite 100 Citrus Heights, CA 956100398 PLEASE PRINT CLEARLYPatient NameToday's DateAddressDate
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To fill out Auburn Oaks Family Dentistry form, follow these steps:
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Start by visiting the Auburn Oaks Family Dentistry website.
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Navigate to the 'Patient Forms' page.
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Download the patient intake form.
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Print out the form and fill it out completely.
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Provide accurate and detailed information about your dental history, medical conditions, and current medications.
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Bring the filled-out form with you to your first visit at Auburn Oaks Family Dentistry.
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Hand the form to the receptionist upon arrival.
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They will process your information and keep it on record for your future visits.

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Patients of all ages, from children to adults, can benefit from their comprehensive dental services.
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If you are in Auburn or the surrounding areas and in need of dental care, Auburn Oaks Family Dentistry is a great option.
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Auburn Oaks Family Dentistry is a dental clinic that provides services for the whole family.
The dental clinic's management or authorized representatives are required to file Auburn Oaks Family Dentistry.
Auburn Oaks Family Dentistry can be filled out online or through paper forms provided by the clinic.
The purpose of Auburn Oaks Family Dentistry is to maintain accurate records of dental treatments and services provided to patients.
Information such as patient name, date of visit, treatment provided, and any medications prescribed must be reported on Auburn Oaks Family Dentistry.
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